Individual
GLENN STEPHEN PRESCOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
333 SCHOOL ST, SUITE 301, PAWTUCKET, RI 02860
(401) 725-3600
(401) 728-8760
Mailing address
333 SCHOOL ST, SUITE 301, PAWTUCKET, RI 02860
(401) 725-3600
(401) 728-8760
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
8767
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000022059
BLUE SHIELD OF RHODE ISLAND
RI
01
—
0800693
UNITED HEALTHCARE
RI
01
—
180040482
RAILROAD MEDICARE
RI
01
—
29732
NEIGHBORHOOD HEALTH PLAN OF RI
RI
01
—
400075
BLUE CHIP
RI
01
—
761405
TUFTS HEALTH PLAN
RI
05
—
9020656
—
RI
Enumeration date
03/19/2007
Last updated
05/02/2008
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